13D2169146 CLIA NUMBER - HPA IDAHO LLC DBA HARRISON'S HOPE TWIN FALLS

Laboratory Demographics

CLIA Number: 13D2169146

Facility Name: HPA IDAHO LLC DBA HARRISON'S HOPE TWIN FALLS

Facility Address:
401 GOODING ST N STE 107
TWIN FALLS, ID
ZIP 83301
Get Directions

Facility Phone Number: 208 944-2021

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1174845762

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	13D2169146
LAB Type	Hospice
Facility Name	HPA IDAHO LLC DBA HARRISON'S HOPE TWIN FALLS
Street	401 GOODING ST N STE 107
City	TWIN FALLS
State	ID
ZIP	83301
Phone	208 944-2021
CertificateType	4
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024